Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
Also: FAMILY PRACTICE
Offers telehealth
NPI: 1275608051
Practice Locations (1)
100 E WALLACE AVE
COEUR D ALENE, ID 838142948
Source: CMS National Downloadable File, September 2026.